Provider Demographics
NPI:1831161066
Name:CHOPRA, AMARJIT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:AMARJIT
Middle Name:SINGH
Last Name:CHOPRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 LA GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-1277
Mailing Address - Country:US
Mailing Address - Phone:502-253-7078
Mailing Address - Fax:502-253-7608
Practice Address - Street 1:10510 LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-1277
Practice Address - Country:US
Practice Address - Phone:502-253-7078
Practice Address - Fax:502-253-7608
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY367222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64050941Medicaid
IN200422480Medicaid
KY398932OtherTRICARE
KY0878419Medicare PIN
KY260052141Medicare PIN
IN200422480Medicaid